We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Clinical manifestations of co-infectionwith malaria and leptospirosis.
- Authors
Gurjar, Mohan; Saigal, Saurabh; Baronia, Arvind K.; Azim, Afzal; Poddar, Banani; Singh, Ratender K.
- Abstract
Though both malaria and leptospirosis are frequent in the tropics, co-infections are under-recognized due to overlapping of clinical features. Here, we reviewed clinical manifestations of published co-infection along with our three cases. Out of a total of 18 patients, nine patients (50%) required ICU admission. Almost all patients had prodromal symptoms in the form of fever, headache and myalgia. Seven patients (37%) had altered sensorium, three patients (17%) had hypotension at admission, and 11 patients (61%) had acute kidney injury (AKI). Pulmonary manifestations in the form of pulmonary bleeding were present in four cases (22%).Three (17%) patients had acute lung injury/acute respiratory distress syndrome. Almost 55% patients had DIC in the form of altered prothrombin time, activated partial thromboplastin time and low fibrinogen level. Four patients (22%) had subconjuctival suffusion, two of them had haematuria, while one presented with nasal bleeding. All patients had altered liver function tests. Of all the 18 patients,17 (94%) survived, while one died.
- Subjects
MALARIA; LEPTOSPIROSIS; INFECTION; QUALITATIVE research
- Publication
Tropical Doctor, 2011, Vol 41, Issue 3, p175
- ISSN
0049-4755
- Publication type
Case Study
- DOI
10.1258/td.2011.110082